Asymptomatic ascending aorta aneurysm with severe aortic regurgitation caused by multiple intimal-medial tears unassociated with aortic dissection

CE Velasco, H Hashemi, CP Roullard… - The American Journal of …, 2018 - Elsevier
CE Velasco, H Hashemi, CP Roullard, J Machannaford, WC Roberts
The American Journal of Cardiology, 2018Elsevier
A 62-year-old man was found to have an asymptomatic ascending aortic aneurysm (6.6 cm)
associated with severe aortic regurgitation. Operative resection of the wall of the aneurysm
disclosed its cause to be multiple healed intimal-medial tears without dissection involving a
previously normal aorta. The concept of an intimal-medial tear unassociated with aortic
dissection is a poorly recognized entity and these tears appear to be asymptomatic and after
the aortic tearing lead to aneurysmal formation.
A 62-year-old man was found to have an asymptomatic ascending aortic aneurysm (6.6 cm) associated with severe aortic regurgitation. Operative resection of the wall of the aneurysm disclosed its cause to be multiple healed intimal-medial tears without dissection involving a previously normal aorta. The concept of an intimal-medial tear unassociated with aortic dissection is a poorly recognized entity and these tears appear to be asymptomatic and after the aortic tearing lead to aneurysmal formation.
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